Individual provider Active NPI

Suzanne M Norman, PH D

  • Psychologist
  • Cincinnati, OH
National Provider Identifier
1669498671
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5372 Issued in OH
Practice address
4030 Mt Carmel Tobasco Rd
Suite 306D
Cincinnati, OH 45255
Phone
(513) 233-3500
Fax
(513) 233-3501
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5372 OH Primary

Addresses

Primary practice location

4030 Mt Carmel Tobasco Rd
Suite 306D
Cincinnati, OH 45255

Mailing address

PO Box 30264
Cincinnati, OH 45230
Phone (513) 233-3500

Other identifiers 1

IdentifierTypeStateIssuer
2506612MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040813000453 OH Practitioner - Clinical Psychologist 7719959550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3995 Cottingham Dr
Cincinnati, OH 45241-1680
Phone (513) 563-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5372OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Geropsychology Consultants Inc Psychologist CurrentSince Jul 6, 2004 Accepting new patients

Locations

4030 Mount Carmel Tobasco Rd
Ste 306D
Cincinnati, OH 45255
Phone (513) 233-3500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193443200000",
    "number": "1669498671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30264",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45230",
            "telephone_number": "513-233-3500",
            "fax_number": "513-233-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 MT CARMEL TOBASCO RD",
            "address_2": "SUITE 306D",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45255",
            "telephone_number": "513-233-3500",
            "fax_number": "513-233-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2506612",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.